This study was performed to investigate the rate of occurrence of neonatal birthmarks and their clinical features. From October 1982 to September l983, 1,035 newborn babies were examined in the Keimyung University Dongsan Medical center and the results were summarized as follows. The main nevi in the newborn were salmon patch (28 9%), portwine stain (0.3%), strawberry mark (0.4%), pigmented lesions (1.0%) and mongolian spot (81. 2%). The salmon patch was present most frequently on the nape but no particular predilection sites were noted in portwine stain, strawberry mark and pigmented lesions. The mongolian spot developed on the sacral portion, buttocks and lower back, in decreasing order.
Buttocks ; Fragaria ; Humans ; Infant, Newborn ; Mongolian Spot ; Nevus ; Salmon

No abstract available.
Decompression* ; Ossification of Posterior Longitudinal Ligament*

Purpose: We report a lenticular cyst in an 8-year-old boy.Case summary: An 8-year-old boy visited our clinic with reduced visual acuity. On slit lamp examination, an immobile lenticular cyst was evident on the posterior lens capsule of the left eye. There was no other abnormality. He had no history of ocular trauma or surgery. His Snellen best-corrected visual acuities (BCVAs) were 1.0 (-0.50 Dsph 0.50 Dcyl ×180°) in the right eye and 0.3 (+3.25 Dsph 1.00 Dcyl ×180°) in the left. After diagnosis of a primary lenticular cyst and anisometropic amblyopia, the child was prescribed glasses and occlusion therapy (8 hours daily). After 3 months, the BCVA improved to 0.9 in the left eye and was maintained. No change in lenticular cyst size was observed during 8 months of follow-up. Conclusions Primary lenticular cysts are very rare in children. When the cyst is too small to occlude the visual axis, amblyopia treatment (glasses and occlusion therapy) is preferable to surgery, being both non-invasive and effective.

Purpose: We report a lenticular cyst in an 8-year-old boy.Case summary: An 8-year-old boy visited our clinic with reduced visual acuity. On slit lamp examination, an immobile lenticular cyst was evident on the posterior lens capsule of the left eye. There was no other abnormality. He had no history of ocular trauma or surgery. His Snellen best-corrected visual acuities (BCVAs) were 1.0 (-0.50 Dsph 0.50 Dcyl ×180°) in the right eye and 0.3 (+3.25 Dsph 1.00 Dcyl ×180°) in the left. After diagnosis of a primary lenticular cyst and anisometropic amblyopia, the child was prescribed glasses and occlusion therapy (8 hours daily). After 3 months, the BCVA improved to 0.9 in the left eye and was maintained. No change in lenticular cyst size was observed during 8 months of follow-up. Conclusions Primary lenticular cysts are very rare in children. When the cyst is too small to occlude the visual axis, amblyopia treatment (glasses and occlusion therapy) is preferable to surgery, being both non-invasive and effective.

No abstract available.
Pregnancy*

Angioleiomyoma of the sinonasal tract is a rare benign tumor. We report a case of angioleiomyoma of the nasal septum in a 51-year-old woman who complained of frequent epistaxis for 3 months. Surgicalexcision was performed. The excised specimen was 0.7 x 0.5 x 0.4 cm in size, well circumscribed, grayish white, rubbery, and soft. Histological examination showed thick-walled blood vessels and smooth muscle cell proliferation. No nuclear atypia or mitoses were present.
Angiomyoma ; Blood Vessels ; Epistaxis ; Female ; Humans ; Middle Aged ; Mitosis ; Myocytes, Smooth Muscle ; Nasal Cavity ; Nasal Septum

BACKGROUND AND OBJECTIVES: Chlamydia pneumoniae (C. pneumoniae) is a well-known pathogen of upper and lower respiratory tract infection. For a more efficient and practical cell culture system, we studied the growth of two clinical isolates of C. pneumoniae in selected cell lines derived from the human respiratory tract. MATERIALS AND METHOD: HeLa 229, HEp-2, which are well-known cell lines for the culture of C. pneumoniae, and AMC-HN-4, AMC-HN-7, AMC-HN-8, which are the newly developed cell lines in Korea were examined. Strains of C. pneumoniae used in this study were TW-183 and LKK-1 (the first Korean strain). Chlamydia was inoculated on each confluent cell line and incubated for 48 hrs. After staining with anti-Chlamydial lipopolysaccharide monoclonal antibody, we compared the efficiency of the C. pneumoniae infection on each cell line by counting the inclusion bodies. RESULTS: In culturing C. pneumoniae LKK-1, AMC-HN-4 cells consistently yielded higher inclusion body counts than HeLa 229 cells did, whereas inclusion body counts by AMC-HN-7 cells was low. AMC-HN-7, AMC HN-8 cells yielded lower inclusion body counts than HEp-2 cells. In culturing C. pneumoniae TW-183, AMC-HN-4, AMC-HN-7, and AMC-HN-8 cells did not yield lower inclusion body counts than HeLa 229 cells did. AMC-HN-7 cells yielded lower inclusion body counts than HEp-2 cells. CONCLUSION: The newly established upper airway epithelial cell lines, AMC HN-4 and AMC HN-8, had similar culture efficiency as HeLa 229 and HEp-2 cells for Chlamydial infection; therefore, these two cell lines could be used for the future studies of C. pneumoniae.
Cell Culture Techniques ; Cell Line ; Chlamydia ; Chlamydophila pneumoniae ; Epithelial Cells ; Epithelium ; Humans ; Inclusion Bodies ; Korea ; Pneumonia ; Respiratory Tract Infections

A spinal cord injury without radiographic abnormality(SCIWORA) was defined by Pang and Wilberger in 1982 as the "objective signs of myelopathy as a result of trauma" in which no evidence of fracture, subluxation, or instability on plain radiographs, or computed tomography is demonstrable. Inherent elasticity of the vertebral column in infants and young children, among other age-related anatomical peculiarities, render the pediatric bony cervical and thoracic spine exceedingly vulnerable to deforming forces. We report here on a case of SCIWORA in a 3-year-old girl who presented with lower extremity paralysis, paresthesia, and voiding difficulty. The mechanism of neural damage in this case was purely longitudinal distraction. Such stress on the spine resulted from severe pulling up the lower extremity by her father, which was not thought to be damaging at that time.
Child ; Child, Preschool ; Elasticity ; Fathers ; Female ; Humans ; Infant ; Lower Extremity ; Paralysis ; Paresthesia ; Spinal Cord Diseases ; Spinal Cord Injuries* ; Spinal Cord* ; Spine

BACKGROUND: Surgical resection is a standard treatment for pulmonary metastases in patients with osteosarcoma, but the role of performing repeated resections is not clear. This study was designed to clarify the feasibility of performing a repeated pulmonary metastasectomy and the prognostic factors for pulmonary metastases in patients with osteosarcoma. MATERIAL AND METHOD: Between January 1990 and July 2005, 62 patients with osteosarcoma were diagnosed with pulmonary metastases and 36 patients underwent pulmonary resection. We reviewed the patients retrospectively. RESULT: The total number of pulmonary metastasectomies was 62 in 36 patients. Among 36 patients, 18 had a second metastasectomy, 7 had a third metastasectomy, and one patient had a fourth metastasectomy. There was no distinctive difference between the first and second metastatectomy in terms of median survival time, and the 3-year and 5-year survival rate (first resection: 20.5 months, 32.6% and 29.4%; second resection: 11.3 months, 34.9% and 34.%). However, the median survival time (7.1 months) was shorter in patients with a third metastatectomy than in patients with one metastatectomy (p=0.01). In long-term survivors, the number of female patients, patients with a disease free time longer than 12 months, patients with a single metastasis and patients with anatomic resection was larger when compared to non-long term survivors, but showed no statistical significance. CONCLUSION: Repeated pulmonary metastasectomy is expected to prolong survival time in patients with osteosarcoma, and is expected to increase long-term survival in selected cases. Further studies with a large number of patients are necessary.
Female ; Humans ; Lung Neoplasms ; Metastasectomy* ; Neoplasm Metastasis ; Osteosarcoma* ; Retrospective Studies ; Survival Rate ; Survivors

A case of frontal ganglioglioma coexisting with pituitary adenoma is reported. A 37-year-old male presented with chief complaint of headache for 2 months. A neurological examination of the patient revealed no deficit. Brain MRI showed a well enhanced lobulated mass on left frontal lobe and another homogeneously enhanced mass on intrasellar and suprasellar portion. The frontal mass was grayish in color and rubbery hard in consistency on operative field, having relatively good boundary from the adjacent normal brain tissue. The sellar mass was 3X3cm in size and compressed optic chiasm. Histological diagnosis of frontal mass was ganglioglioma and sella mass showed typical features of pituitary adenoma.
Adult ; Brain ; Diagnosis ; Frontal Lobe ; Ganglioglioma* ; Headache ; Humans ; Magnetic Resonance Imaging ; Male ; Neurologic Examination ; Optic Chiasm ; Pituitary Neoplasms*